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Home My WebLink About37279-ZTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37279 Permission is hereby granted to: Donovan, Tara & Crawford, Robert Date: 6/6/2012 107 S 4th St Brooklyn, NY 11211 To: erect a Deer Fence along the side and & rear yard as applied for per Town Code Section 280-105 (.c) At premises located at: 40755 Route 25, Orient SCTM # 473889 Sec/Block/Lot # 15.-9-7 Pursuant to application dated To expire on 12/6/2013. Fees: 5/29/2012 and approved bythe Building Inspector. ALTERATION OF ACCESSORY BUILDINGS Total: $75.00 $75.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined Approved ..... (~L~. 20/)/ Disapproved a/c PERMIT NO. MAI' 2 9 2012 BLDG, DF.P]. TOWN OF SOUTHOt9 Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form intact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plau showing location of lot and of buildings ou premises, relationship to ad. joining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced befbre issuance of Building Permit. d. Upon approval of this application, tile Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on tile premises available for inspection throughout tile work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issoes a Certificate of Occupancy. f. Every building permit shall expire if the work aothorized has not commenced within 12 months after the date of issaance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, tile Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to tile Building Department lbr the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition ~s/herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, andr/~ulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Sig~/of applicant or name, ifa corporation) /oT S. q-m 5fre b. I,J"l 112qq (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~0'~¢_.,~-I' (_AL~WFOgO (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: lgAtkl House Number Street Hamlet Point County Tax Map No. 1000 Section 1~ Block c~ Lot -~ Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost4 tq If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work DF,~.ff.~ (Description) Fee -] r~. ~ (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if a~y: Front [0]~( Rear ~J//~ Depth Height ~ [~ Number of Storie.~ f' ~/~. DepthDimensi°ns of samelq/(} structure Heightwith alterationslJ/~°r additions: FrontNumber of~/l~tories N/~Rear 8. Dimensions of eptire new construction: Front lO/~ Rear Height N/lq' Number of Stor{~s IV[~ 9. Size of lot: Front ).-/~,-./ff t Rear 17q. Tq' Depth 10. Date of Purchase 1~-/1% ~Oll Name of Former Owner 11. Zone or use district in which premises are situated Depth Iq/10 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 7 13. Will lot be re-graded? YES NO CWill excess fill be removed from premises? YES NO ~// 14. Names of Owner of premises~-. Name of Architect Name cr'~. "~' r o ~ ,~,,nt, a,,to 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? * YES · IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B,~/REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO e' · IF YES, D.E.C. PERMITS MAY BE REQUIRED. Address/~ g. qx~¢~. ~¥M Phone No.'(~{~qb / ~,$(o - sI q Address Phone NO Address Phone NO. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below~ must provide topographical data on survey. / 18. Are there any covenants and restrictions with respect to this property? * YES NO 4/ · IF YES, PROVIDE A COPY. STATE OF NEW YORK)~ COUNTY OF Ct_,_.~: ~O{b~(l.,l' ~{'k{~l~,} F"'Ol~.O __ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the C)~blCzfl---- (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Bj~GUMILA T. ROSFBURG NOTAI~/PU~3LiC - STATE OF NEW YORK ,/~//' NO. 01RO5071459 .-'~'U~,I !F!FD IN QUEENS COUNTY I Sworn to before me this ,c.~rviiSSlON EXPIRES JAHUARY 13, 20~,,-,) ~qo*tar~, 15ublic ~ /(~fgnature of Applicaot SURX,~'r' OF PROPERTY' SITUATE: 'ORIENT POINT TOINN: 5OUTHOLI2> .SUFFOLK. COUNT'C, NY .5~JRVEYEP, NOV~HBER II, 2011 SUFFOLK C. OUNT'f' TAX I000- 15- q --/ TARA DONOVAN ROBt~RT D. CRAWFORD FIDELITY NATIONAL 'I'ITL~ INSURANC~ COMPANY OF NEW YOR~ N S E NOTES: · MONUMENT POUND FEHA FLOOD ZONFS AS SHOP, IN ON FIP-M E~blO~C, OOg~,5 H DATED q-25-2011 AREA = 71~D6 S.F.or I.,~445 Acr~5 ®~APHI6 SOAL~ I"= 50' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 R1VERHEAD, N.Y. 11901 369-8288 FaJR,l~.~rsUohn'd)ropbox\08\08\08-122 updated 11-10-2011.pro